Ukuphatha lesi shingles ebuhlungu
I-neuralgia ye-posterpetic (PHN) yisimo esibuhlungu esenzeka njengengxube ye- shingles , ebangelwa igciwane elifanayo elibangela inkukhu : i-varicella-zoster. Lithinta izintambo zesishukela kanye nesikhumba eside emva kwezingxenyeni sekuhambe futhi kubangela ubuhlungu obukhulu nokushisa. Kunezinhlobo ezintathu ze-neuralgia ye-postherpetic:
- I-neuralgia enobuciko obuhle. Ubuhlungu buhambisana nokuqhuma futhi kuqhubeka izinsuku ezingu-30 ngemuva kokuqala kokushona.
- Hlanganisa i-neuralgia ye-herpetic. Ubuhlungu buphikelela ezinyangeni ezingu-1 kuya kwezingu-4 ngemuva kokuqala kwe-rash.
- I-neuralgia ye-posterpetic. Ubuhlungu buphikelela ezinyangeni ezingaphezu kwezingu-4 ngemuva kokuqala kwe-rash.
Izimbangela Ze-Neuralgia Yangemva Kwesonto
Uma unesifo senkukhu njengengane, i-shingles virus - varicella-zoster - isivele ingaphakathi kwakho. Ihlala ihlala isikhathi eside iminyaka eminingi ize ibuyele emuva phakathi kwemizwa futhi ibe isikhumba, kubangele ukushayeka kwe-shingles. I-PHN ivela lapho ama-nerve fibers ewonakele ngesikhathi sokuqubuka kwesisu. Ama-fibre we-nerve ewonakele aholela ekubuyeni okungapheli okuqhubekayo izinyanga noma ngisho neminyaka.
I-PHN, ukuxilongwa kwezibungu, ingabangela ukucindezeleka okuningi, kuhlanganise:
- Ukucindezeleka
- Ukubunzima ukugxila
- Kunzima ukulala
- Ukukhathala
- Ukulahlekelwa kwesifiso
Izisusa Zezingozi Ze-Neuralgia zangemva kwesikhathi
Ingozi yokuthuthukisa i-PHN iyanda ngokukhula. Iningi labantu abathintekayo likhulile kunezingu-60. Ucwaningo olulodwa luthola ukuthi phakathi kwabantu abaneminyaka engama-60 kuya kwabangu-69 abaye bahlakulela ama-shingles, amaphesenti angu-6.9 athuthukise i-PHN.
Kubantu abaneminyaka engaphezu kwengu-70 abaye bahlakulela ama-shingles, amaphesenti angu-18.5 athola i-pHN.
Ngaphezulu kweminyaka yobudala, ezinye izinto ezibangela ingozi zibandakanya ukuzwa ubuhlungu obunzima obunzima ngokushaywa kwe-shingles kanye nokushayeka okukhulu kwe-shingles. Ungase futhi ukwazi ukuthuthukisa i-PHN uma uboshwe ebusweni noma trunk.
Isivikelo somzimba esibuthakathaka empeleni asiyona into engozini ye-PHN.
Izimpawu Ze-Neuralgia Yangemva Kamuva
Zombili izikhwama kanye ne-PHN kungabangela ubuhlungu obukhulu kangangokuba buphazamisa impilo yakho. Izimpawu ze-PHN zivame ukukhawulelwa endaweni lapho kuqhuma khona ukushaywa kwesikhwama. Izimpawu ezicacile zifaka:
- Ukuvutha komsindo endaweni lapho ukuqhuma kuphelile khona
- Ubunzima obulethwe yi-stimuli engavamile ebuhlungu njengokuthinta ukukhanya
- Itching
- Izindawo ze-numbness kanye nobunzima bokubona ukushisa nokudlidliza
Ukwelashwa Kwe-Neuralgia Yangemva Kamuva
Kumele ubone udokotela ngesibonakaliso sokuqala shingles, kanye nezimpawu ze-PHN. Ukuhlolwa kwe-PHN ngokuvamile akudingi ukuhlolwa. Ukwelashwa kwe-PHN kuyinkimbinkimbi futhi kuvame ukudinga imithi eminingi. Ngeshwa, akukho ukwelashwa okulodwa okusebenza kubo bonke abantu. Abantu abaningi kufanele basebenzise izinyathelo eziningi zokwelapha ukuze kunciphise izimpawu. Zihlanganisa:
- I-Lidocaine ne-capsaicin patches
- Ama-anticonvulsants (gabapentin ne-pregabalin)
- Ama-antidepressants (i-nortriptyline, i-duloxetine, ne-venlafaxine)
- I-opioids (tramadol, i-oxycodone, ne-morphine)
- I-steroid injection
I-Capsaicin cream iyithandwa kakhulu ekwelapheni kwe-PHN. I-Capsaicin iyinhlangano engokwemvelo yembewu ye-pepper futhi ikhulula ubuhlungu nokuluma.
Indlela Yokuvimbela I-Neuralgia Yasemva Kwesikhashana
Ama-shingles awavimbeli ngokuphelele, kodwa kunezinto ezimbalwa ongazenza ukuze unciphise amathuba okuthola wona nezinkinga zayo:
- Bheka udokotela wakho ngokushesha nje uma ubona izimpawu zesibindi .
- Thola umgomo we-shingles. Kanciphisa kakhulu ingozi yokuthuthukisa ama-shingles, i-PHN, nezinye izinkinga.
Imithombo:
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